RAJITHA LAKSHMI AVVA (NPI# 1730233297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730233297 |
| Entity Type | Individual |
| Full Name | RAJITHA LAKSHMI AVVA |
| Credential | MD |
| Practice Address |
Palos Behavioral Health 13011 S 104th Ave Palos Park IL 60464 |
| Mailing Address |
12615 Suffield Drive Palos Park IL 60464 |
| Practice Telephone | 7084483300 |
| Mailing Telephone | 7084480161 |
| Mailing Fax Number | 7083623766 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC BS | 01623882 | 01 |
| Street Address |
PALOS BEHAVIORAL HEALTH 13011 S 104TH AVE |
| City | PALOS PARK |
| State | IL |
| Zip Code | 60464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
| 1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
| 1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
| 1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
| 1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
| 1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
| 1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
| 1235179417 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 9650 W 131st St, Palos Park, IL 60464 | 2006-06-07 |
| Find all providers in zip 60464 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| Find all providers with the same taxonomy | ||||
| City | PALOS PARK |
| Zip Code | 60464 |
Please comment or provide details below to improve the information on RAJITHA LAKSHMI AVVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.